Starfile / California

WINDSOR CARE CENTER OF SACRAMENTO

501 JESSIE AVENUE, SACRAMENTO, CA 95838 · CCN 555717

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$0

Number of fines

0

Number of penalties

0

Payment denials

0

Chain

Chain

WINDSOR

Facilities in chain

19

Chain avg overall

2.30 / 5

Inspection citations (55)1 actual harm

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

2. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

3. EF0583Keep residents' personal and medical records private and confidential.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

4. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

5. DF0641Ensure each resident receives an accurate assessment.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

6. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

7. EF0679Provide activities to meet all resident's needs.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

8. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

9. DF0699Provide care or services that was trauma informed and/or culturally competent.2024-12-20 · Health · corrected 2024-12-27

   Potential for more than minimal harm

10. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

11. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

12. DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

13. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

14. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

15. EF0880Provide and implement an infection prevention and control program.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

16. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-12-20 · Health · corrected 2024-12-27

    Potential for more than minimal harm

17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-03 · Health · corrected 2024-10-04

    Potential for more than minimal harm

18. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-08-22 · Health · corrected 2024-09-06

    Potential for more than minimal harm

19. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-22 · Health · corrected 2024-09-06

    Potential for more than minimal harm

20. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-23 · Health · corrected 2024-08-05

    Potential for more than minimal harm

21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-07-11 · Health · corrected 2024-07-12

    Potential for more than minimal harm

22. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-08 · Health · corrected 2024-05-08

    Actual harm

23. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-12-20 · Health · corrected 2023-12-29

    Potential for more than minimal harm

24. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

25. DF0641Ensure each resident receives an accurate assessment.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

26. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

27. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

28. EF0730Observe each nurse aide's job performance and give regular training.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

29. DF0732Post nurse staffing information every day.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

31. DF0759Ensure medication error rates are not 5 percent or greater.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

32. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

33. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

34. EF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

35. DF0908Keep all essential equipment working safely.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

36. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

37. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-11-16 · Health · corrected 2023-12-25

    Potential for more than minimal harm

38. DF0610Respond appropriately to all alleged violations.2023-10-10 · Health · corrected 2023-10-19

    Potential for more than minimal harm

39. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-08-01 · Health · corrected 2023-08-23

    Potential for more than minimal harm

40. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-28 · Health · corrected 2023-08-25

    Potential for more than minimal harm

41. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-18 · Health · corrected 2023-05-25

    Potential for more than minimal harm

42. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2023-04-12 · Health · corrected 2023-05-10

    Potential for more than minimal harm

43. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-03-19 · Health · corrected 2023-04-19

    Potential for more than minimal harm

44. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

45. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

46. DF0558Reasonably accommodate the needs and preferences of each resident.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

47. DF0583Keep residents' personal and medical records private and confidential.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

48. DF0641Ensure each resident receives an accurate assessment.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

49. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

50. DF0692Provide enough food/fluids to maintain a resident's health.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

51. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

52. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

53. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

55. DF0880Provide and implement an infection prevention and control program.2021-12-09 · Health · corrected 2022-01-09

    Potential for more than minimal harm

Ownership

Other facilities in SACRAMENTO

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.